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General NPI Number Information
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NPI Number | 1265379739
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Entity Type | Organization
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Legal Business Name | SOUTH EAST EDUCATION COOPERATIVE
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Dates
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Enumeration Date | 05/01/2026
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Last Update Date | 05/01/2026
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Provider Practice Location Address
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Address Line | 3170 43RD ST S
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City | FARGO
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State | ND
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Zip | 58104-8908
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Country | US
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Telephone | 701-997-2472
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Fax |
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Provider Business Mailing Address
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Address Line | 3170 43RD ST S
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City | FARGO
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State | ND
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Zip | 58104-8908
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Country | US
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Telephone | 701-997-2472
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF STUDENT SERVICES
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Name | KEELY IHRY
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Credential |
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Telephone | 701-997-2472
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number |
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License Number State |
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